Evidence map›Paper›PMID 27876810›Full record

ArticleEuropean journal of clinical nutrition2017

Outcomes of exclusive enteral nutrition in paediatric Crohn's disease.

L Lafferty, M Tuohy, A Carey, S Sugrue, M Hurley, S Hussey

Open access · greenAbstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in European journal of clinical nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
  6. Exclusive enteral nutrition: An optimal care pathway for use in adult patients with active Crohn's disease.JGH open : an open access journal of gastroenterology and hepatology · 2020
    Article
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

L LaffertyDublin Institute of Technology, Dublin, Ireland.
M TuohyDublin Institute of Technology, Dublin, Ireland.
A CareyNational Centre for Paediatric Gastroenterology (NCPG), Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
S SugrueDublin Institute of Technology, Dublin, Ireland.
M HurleyNational Centre for Paediatric Gastroenterology (NCPG), Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
S HusseyNational Centre for Paediatric Gastroenterology (NCPG), Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
Children's Health Ireland at Crumlin · IEOur Lady's Hospital · IENational Children’s Research Centre · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesExclusive enteral nutrition (EEN) is a safe and effective treatment modality for inducing remission in paediatric Crohn's disease (CD). The primary aim of this study was to compare the outcomes of EEN to corticosteroid (CS) therapy in newly diagnosed, treatment-naïve patients with CD. A secondary aim was to describe the outcomes of EEN in a national cohort of paediatric CD patients over a 10-year period. SUBJECTS/

methodsA retrospective chart review was conducted at the Irish national referral centre for paediatric CD. A case-matched analysis was conducted on two cohorts matched for age, gender, disease location, disease behaviour and disease activity, who received CS or EEN as their initial treatment. Subsequently, cohort analysis was conducted on all patients who undertook a course of EEN therapy between 2004 and 2013.

resultsThe case-matched analysis found higher remission rates after treatment with EEN (24/28, 86%) compared with those with CS (15/28, 54%; P=0.02). Dietetic contacts were found to be pivotal to the success of treatment and the attainment of remission. In total, 59 patients completed EEN at some time-point in their disease course and were included in the cohort analysis. Sixty-nine per cent of this cohort entered clinical remission (41/59). EEN was found to be most effective when used as an initial treatment (P=0.004) and less effective in patients aged under 10 years (P=0.04).

conclusionsEEN should be strongly considered as a favourable primary treatment over CS, especially in those diagnosed over the age of 10 years.

Indexed as

AdolescentAdrenal Cortex HormonesAdultAge FactorsAge of OnsetCase-Control StudiesChildCrohn DiseaseEnteral NutritionFemaleHumansMaleMatched-Pair AnalysisRemission InductionRetrospective StudiesTime FactorsAdrenal Cortex Hormones

Identifiers

PMID27876810
OpenAlexW2555108671

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.